David Johnson: Cracks in the foundation (Part 4): Overcoming a brittle business model
U.S. health systems’ rely on centralized, high-cost platforms (e.g., hospitals) to deliver routine care in an approach focused on optimizing revenues under fee-for-service payment. Yet this approach is inefficient and asset-heavy. To build less brittle, more consumer-centric delivery platforms, health systems must decant procedures to more convenient, lower-cost locations as they pursue full-risk contracting.
3 ways the patient financial experience can improve health equity
COVID-19 shined a bright light on disparities in access to care and health outcomes that existed in the U.S. healthcare system long before the pandemic, but far from improving the situation, it has exacerbated those disparities. Now, health system revenue cycle departments have an opportunity to be part of the solution.
David Johnson: Cracks in the Foundation (Part 3): Overcoming healthcare’s services-need mismatch
Clinical care only accounts for 20% of health outcomes, yet this area is where America disproportionately invests its healthcare resources. To overcome U.S. healthcare’s services-need mismatch, there should be a greater investment in healthy multipliers that help to address the social and economic factors, health behaviors and the physical environment that drive the remaining 80% of health outcomes.
5 ways the ERM playbook for health systems is due for a rewrite
Business risk for health systems has continued to evolve amid huge changes affecting the industry, including those driven by COVID-19. Health system leaders should respond by revisiting their approach to enterprise risk management (ERM) to focus on five areas of risk where their ability to deliver healthcare cost effectively could be compromised: Labor shortages, capital planning amid ongoing change, energy consumption, cyber security and price transparency.
Cost Effectiveness of Health Report, March 2022
The March 2022 edition of HFMA’s Cost Effectiveness of Health Report addresses a key prerequisite to achieving cost-effectiveness: engaged caregivers. A preview of the April 2022 hfm cover story details how one health system has responded to its nurses’ need for increased scheduling flexibility, and a commentary explores steps for enabling physicians to play a leadership role in promoting CEoH. Also included is a Q&A exploring activities on the world stage aimed at achieving the United Nation’s sustainable development goals for healthcare and health equity – and how U.S. organizations can play a role.
How U.S. healthcare can play a larger role on the world stage
Judy Kuriansky, PhD, a professor of psychology, NGO representative to United Nations and trustee of the United African Congress, shares her insights and experiences from working to improve healthcare equity and access among populations in the world who are “furthest behind,” which is a priority in the United Nations 2030 Agenda for Sustainable Development. Kuriansky describes recent international efforts aimed at promoting the United Nations 2030 Agenda, and she address ways U.S. health systems could play an important role in such efforts.
How to future-proof your travel nurse and clinician staffing
Nursing and clinician staff have long faced pressures, exacerbated by the pandemic, that have caused many of them to experience burnout and some to leave the profession. Recognizing such concerns among its staff, including a desire for greater flexibility in scheduling and types of assignments, Trinity Health in Livonia, Michigan, developed an innovative in-house travel staffing approach that would address the concerns and promote increased nursing staff engagement with its health system, without which it could not deliver the highest possible quality of care.
Provider Relief Fund update: Second reporting deadline looms as the fund nears depletion
Healthcare organizations that received Provider Relief Fund payments between July 1 and Dec. 31, 2020, have until Thursday, March 31 to report on their use of those funds.
Bringing the healthcare back to healthcare
Affording greater freedom to physicians to practice medicine by easing administrative strictures on them may be the best strategy for ultimately promoting cost effectiveness of health, says Martin Bluth. But physicians also should be well educated in the economics and business of healthcare.
Operationalizing value-based primary care: lessons from the field
The primary care physician’s office has a pivotal role to play in efforts of hospitals, payers and other healthcare stakeholders to transition healthcare payment to arrangements that reward providers for the value of the care they provide. However, to successfully execute a value-based primary care model, organizations should be mindful of the all-too-common pitfalls that they may encounter along the way.